Provider Demographics
NPI:1649319708
Name:DUPLINSKY, THOMAS GEORGE (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GEORGE
Last Name:DUPLINSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 WHITNEY AVE
Mailing Address - Street 2:UNIT C10
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06517-2876
Mailing Address - Country:US
Mailing Address - Phone:203-287-8570
Mailing Address - Fax:203-287-8572
Practice Address - Street 1:1220 WHITNEY AVE
Practice Address - Street 2:UNIT C10
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06517-2876
Practice Address - Country:US
Practice Address - Phone:203-287-8570
Practice Address - Fax:203-287-8572
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT64481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT6721720001OtherPTAN